“…[24][25][26] Ideally, a diagnosis of mucocutaneous leishmaniasis should be based upon the demonstration of Leishmania 23 Serology may have false positive results due to crossed reactions with other diseases, i.e., trypanosomiases, malaria, erythematous lupus, and toxoplasmosis. 5,30 On clinical practice, the diagnosis is made using clinical, histopathologic, and laboratory criteria. We used a composite reference standard that included these criteria, which we used in our previous study with satisfactory results.…”